NPI | 1154752244 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC11768) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60611750) |
Enumeration Date | 2013-11-27 |
Last Update Date | 2022-08-28 |