| NPI | 1982265526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 95375) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 95375-ASW) |
| 101Y00000X Counselor | |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2021-06-08 |