NPI | 1053914689 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225400000X Rehabilitation Practitioner |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 98063) |
Enumeration Date | 2020-11-17 |
Last Update Date | 2023-06-15 |