| NPI | 1699210591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA PCCI3414) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA 160133412) |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2016-12-30 |