NPI | 1023675758 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 11620) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 4358) |
101YP2500X Counselor, Professional (Licence: CA 4358) | |
Enumeration Date | 2019-05-29 |
Last Update Date | 2022-05-25 |