NPI | 1295102861 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC15744) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC5025) |
Enumeration Date | 2015-08-30 |
Last Update Date | 2024-07-26 |