NPI | 1083102719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 6849) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 008440-1) |
Enumeration Date | 2018-04-27 |
Last Update Date | 2025-03-17 |