NPI | 1992336937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: UT 1058838-3902) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA LMFT86250) |
Enumeration Date | 2020-01-29 |
Last Update Date | 2023-02-22 |