NPI | 1083063051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 9835) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 008246) |
Enumeration Date | 2016-06-09 |
Last Update Date | 2021-08-30 |