| NPI | 1144587619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: CA 99460) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 99460) |
| 101YM0800X Counselor, Mental Health (Licence: CA 99460) | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2018-09-14 |