NPI | 1174835409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA LCSW101451) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2010-07-01 |
Last Update Date | 2021-07-26 |