NPI | 1720216104 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC-3880) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-15897) |
Enumeration Date | 2009-06-24 |
Last Update Date | 2024-06-18 |