| NPI | 1023434362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 93573) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 93573) |
| 225C00000X Rehabilitation Counselor (Licence: CA 93573) | |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2020-02-03 |