NPI | 1932563871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 27981) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 27981) |
101YP2500X Counselor, Professional (Licence: 27981) | |
Enumeration Date | 2016-04-06 |
Last Update Date | 2016-04-06 |