| NPI | 1962657767 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT 50237)  | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA IMF 56600)  | 
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2008-11-20 | 
| Last Update Date | 2016-09-02 |