NPI | 1104372044 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 9441) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 4241) |
101YP2500X Counselor, Professional (Licence: CA 4241) | |
Enumeration Date | 2016-08-31 |
Last Update Date | 2021-03-31 |