NPI | 1083978506 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA D9972773) |
Enumeration Date | 2012-06-29 |
Last Update Date | 2021-12-08 |