NPI | 1356182265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA AMFT140666) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC14281) |
Enumeration Date | 2024-06-04 |
Last Update Date | 2024-06-04 |