| NPI | 1912337809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 9803) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 9803) |
| 101YM0800X Counselor, Mental Health (Licence: CA PCCI1888) | |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2021-12-07 |