NPI | 1720382328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 1734) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI 241) |
Enumeration Date | 2010-12-22 |
Last Update Date | 2014-12-05 |