NPI | 1043731839 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 5874) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 5872) |
Enumeration Date | 2017-06-30 |
Last Update Date | 2022-09-27 |