NPI | 1356767263 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC3866) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV CP3331-R) |
Enumeration Date | 2014-03-16 |
Last Update Date | 2024-06-21 |