NPI | 1992885719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFT40400) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA MFC40400) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2021-09-22 |