| NPI | 1992885719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA MFT40400) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA MFC40400) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2021-09-22 |