| NPI | 1598005787 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: CA 160255235)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 948)  | 
| Enumeration Date | 2013-02-25 | 
| Last Update Date | 2018-03-17 |