NPI | 1497056907 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC1881) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NY LMHC 005472) |
101YM0800X Counselor, Mental Health (Licence: CA LPCC1881) | |
Enumeration Date | 2010-11-15 |
Last Update Date | 2023-11-29 |