| NPI | 1619349933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 91873) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 91873) |
| 101Y00000X Counselor | |
| 101YS0200X Counselor, School | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 91873) | |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2016-10-25 |