| NPI | 1851552509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 57281) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2012-03-20 |