| NPI | 1174655773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA CPT8635) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2018-10-11 |