NPI | 1578665436 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA IMF62841) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA IMF44934) |
Enumeration Date | 2006-09-02 |
Last Update Date | 2010-05-11 |