| NPI | 1578680468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA CAS2342) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A3623792) |
| 101YM0800X Counselor, Mental Health (Licence: CA MFT30260) | |
| 101YS0200X Counselor, School (Licence: CA 357533) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFT30260) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |