NPI | 1750796439 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPC329) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC329) |
Enumeration Date | 2014-06-21 |
Last Update Date | 2023-12-04 |