| NPI | 1861518235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3301) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 52859) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2012-06-19 |