NPI | 1427332576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC 1246) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 1246) |
Enumeration Date | 2011-10-07 |
Last Update Date | 2021-06-14 |