| NPI | 1871610311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 225400000X Rehabilitation Practitioner | |
| 101YM0800X Counselor, Mental Health (Licence: CA MFTI 53319) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2014-02-06 |