NPI | 1114587367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 8325) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
101YM0800X Counselor, Mental Health (Licence: CA 8325) | |
Enumeration Date | 2019-06-19 |
Last Update Date | 2024-01-05 |