NPI | 1306113469 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA LPCC14127) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA APCC5675) |
Enumeration Date | 2011-11-17 |
Last Update Date | 2023-07-03 |