NPI | 1619427119 |
---|---|
Former Name | ROSHANDA EDWARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 119189) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2016-10-07 |
Last Update Date | 2023-04-25 |