NPI | 1407307754 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT117026) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF79550) |
Enumeration Date | 2016-10-21 |
Last Update Date | 2023-07-01 |