NPI | 1609248178 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA PCCi 1180) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA 140024507) |
Enumeration Date | 2015-10-23 |
Last Update Date | 2015-10-23 |