| NPI | 1366849234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW25382) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LCSW253882) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |