NPI | 1083345334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 131794) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 131794) |
Enumeration Date | 2022-06-17 |
Last Update Date | 2022-06-17 |