NPI | 1669013165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC12719) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA LPCC12719) |
101YM0800X Counselor, Mental Health (Licence: CA LPCC12719) | |
101YP2500X Counselor, Professional | |
Enumeration Date | 2019-10-05 |
Last Update Date | 2023-03-14 |