| NPI | 1255628731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC8984) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPC 63) |
| 101YS0200X Counselor, School (Licence: CA LEP2621) | |
| 103TS0200X Psychologist, School (Licence: CA LEP2621) | |
| 101Y00000X Counselor (Licence: CA LPC 63) | |
| 101YP2500X Counselor, Professional (Licence: OK LPC07523) | |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2021-05-13 |