NPI | 1376676890 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 20276) |
103TR0400X Psychologist, Rehabilitation | |
Enumeration Date | 2007-03-13 |
Last Update Date | 2014-07-01 |