NPI | 1891282968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW61669) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 61669) |
Enumeration Date | 2018-04-15 |
Last Update Date | 2023-10-24 |