NPI | 1033655568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA APCC7878) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT119229) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2017-01-08 |
Last Update Date | 2020-10-21 |