NPI | 1225385420 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 93622) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF 71230) |
Enumeration Date | 2012-08-07 |
Last Update Date | 2024-02-05 |