| NPI | 1659725943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA PCCI12738) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH12568) |
| 101YS0200X Counselor, School (Licence: CA 123206500) | |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |