NPI | 1558720763 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT112940) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF90031) |
Enumeration Date | 2016-02-16 |
Last Update Date | 2019-12-13 |