NPI | 1124586813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 13059) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 13059) |
101YM0800X Counselor, Mental Health (Licence: CA 5241) | |
Enumeration Date | 2019-03-12 |
Last Update Date | 2024-06-27 |