NPI | 1104387778 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC18256) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA APCC6038) |
101YM0800X Counselor, Mental Health | |
101Y00000X Counselor (Licence: CA APCC6038) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2019-03-27 |
Last Update Date | 2025-01-15 |