NPI | 1982823944 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 55644) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2007-04-25 |
Last Update Date | 2013-03-15 |