NPI | 1225269947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC680) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC680) |
Enumeration Date | 2009-07-29 |
Last Update Date | 2019-05-28 |