| NPI | 1871703900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: CA R51A (#070191978)) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 17495) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |