| NPI | 1013218296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 94206) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 94206) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2020-11-30 |