NPI | 1659725943 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA PCCI12738) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH12568) |
101YS0200X Counselor, School (Licence: CA 123206500) | |
Enumeration Date | 2016-04-22 |
Last Update Date | 2016-04-22 |