NPI | 1285876847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 7841) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC7296) |
Enumeration Date | 2009-03-29 |
Last Update Date | 2022-02-25 |