NPI | 1255888517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 119192) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 95026) |
Enumeration Date | 2016-09-04 |
Last Update Date | 2023-02-13 |