| NPI | 1003154980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPC 198) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 10185) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-01-28 |