NPI | 1134625908 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC7946) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC7946) |
Enumeration Date | 2018-04-02 |
Last Update Date | 2023-08-16 |