NPI | 1417192394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 25179) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 25179) |
Enumeration Date | 2008-12-08 |
Last Update Date | 2013-06-06 |