NPI | 1558909127 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC444) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA LPCC444) |
225C00000X Rehabilitation Counselor (Licence: CA LPCC444) | |
261QD1600X Clinic/Center, Developmental Disabilities (Licence: CA LPCC444) | |
Enumeration Date | 2019-12-14 |
Last Update Date | 2019-12-14 |