NPI | 1659786309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC320) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA LPCC320) |
101YM0800X Counselor, Mental Health (Licence: CA LPCC320) | |
101YS0200X Counselor, School (Licence: CA LEP3161) | |
Enumeration Date | 2014-06-20 |
Last Update Date | 2015-05-22 |