| NPI | 1053701169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA CDP 0271113 -MHP) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA CDP 0271113) |
| 101YM0800X Counselor Mental Health (Licence: CA DDMHP, CDP 027113) | |
| 101YS0200X Counselor School | |
| 1041C0700X Social Worker Clinical (Licence: CA CDP 0271113 -MHP) | |
| 1041S0200X Social Worker School | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |