NPI | 1699148650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC5975) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 5975) |
Enumeration Date | 2015-11-12 |
Last Update Date | 2024-04-15 |