NPI | 1023434362 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 93573) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 93573) |
225C00000X Rehabilitation Counselor (Licence: CA 93573) | |
Enumeration Date | 2014-03-11 |
Last Update Date | 2020-02-03 |