| NPI | 1750635108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: CA 260075289) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 34595) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2026-09-01 |