NPI | 1013463199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 12137) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional (Licence: CA PCCI4270) | |
Enumeration Date | 2016-08-29 |
Last Update Date | 2023-03-16 |