| NPI | 1902082985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA 31599) |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2012-04-26 |