| NPI | 1659786309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA LPCC320) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA LPCC320) |
| 101YM0800X Counselor Mental Health (Licence: CA LPCC320) | |
| 101YS0200X Counselor School (Licence: CA LEP3161) | |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2015-05-22 |