NPI | 1023532082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 8401) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60998168) |
101YM0800X Counselor, Mental Health (Licence: NV CP5526-R) | |
Enumeration Date | 2017-08-01 |
Last Update Date | 2024-05-06 |