| NPI | 1558909127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC444) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA LPCC444) |
| 225C00000X Rehabilitation Counselor (Licence: CA LPCC444) | |
| 261QD1600X Clinic/Center, Developmental Disabilities (Licence: CA LPCC444) | |
| Enumeration Date | 2019-12-14 |
| Last Update Date | 2019-12-14 |