NPI | 1750946497 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT123671) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT102173) |
Enumeration Date | 2019-05-08 |
Last Update Date | 2021-01-14 |