NPI | 1124624499 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA APCC7161) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA APCC7161) |
101YM0800X Counselor, Mental Health (Licence: CA APCC7161) | |
Enumeration Date | 2020-12-10 |
Last Update Date | 2022-01-06 |