NPI | 1417531336 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA AMFT113541) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC6311) |
Enumeration Date | 2021-05-06 |
Last Update Date | 2021-05-06 |