NPI | 1114360732 |
---|---|
Other Name | B/T CRAIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC4505) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2013-04-12 |
Last Update Date | 2017-11-20 |