NPI | 1255628731 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC8984) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPC 63) |
101YS0200X Counselor, School (Licence: CA LEP2621) | |
103TS0200X Psychologist, School (Licence: CA LEP2621) | |
101Y00000X Counselor (Licence: CA LPC 63) | |
101YP2500X Counselor, Professional (Licence: OK LPC07523) | |
Enumeration Date | 2011-07-05 |
Last Update Date | 2021-05-13 |