NPI | 1083250419 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 95174621) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95174621) |
163W00000X Registered Nurse (Licence: CA 95174621) | |
Enumeration Date | 2019-11-20 |
Last Update Date | 2024-02-09 |