NPI | 1114545670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 7676) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 3954) |
Enumeration Date | 2020-07-10 |
Last Update Date | 2020-07-10 |