NPI | 1407193667 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 33817) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 79279) |
Enumeration Date | 2013-01-08 |
Last Update Date | 2021-03-23 |