| NPI | 1023308079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 26) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC6072) |
| 101YS0200X Counselor, School (Licence: CA 50164430) | |
| 101YM0800X Counselor, Mental Health (Licence: exam pass # 275107) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PsyD CCU Santa Ana) | |
| 146D00000X Personal Emergency Response Attendant (Licence: Trauma and Loss Cert) | |
| 1744R1102X Specialist, Research Study (Licence: Adolescent) | |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2014-10-08 |