NPI | 1265783054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA LPCC 2850) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY LMHC 006889) |
Enumeration Date | 2012-09-20 |
Last Update Date | 2016-10-06 |