| NPI | 1891124426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 96719) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 34268) |
| 225C00000X Rehabilitation Counselor (Licence: CA 96719) | |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2024-05-31 |