NPI | 1659613982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT112349) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFT12349) |
Enumeration Date | 2013-03-25 |
Last Update Date | 2023-02-01 |