NPI | 1558699678 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 4500) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180007353) |
Enumeration Date | 2009-12-01 |
Last Update Date | 2018-03-17 |