| NPI | 1932536349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA PT33912) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |