NPI | 1861915423 |
---|---|
Former Name | KARA LYNN YAMASAKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0016077) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0016150) |
Enumeration Date | 2017-07-25 |
Last Update Date | 2020-03-09 |