NPI | 1104456466 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 7528) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 7528) |
Enumeration Date | 2020-01-24 |
Last Update Date | 2020-01-30 |