NPI | 1093169286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC4761) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 1175) |
Enumeration Date | 2016-04-14 |
Last Update Date | 2020-10-06 |