NPI | 1124634514 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 14099) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 4864) |
Enumeration Date | 2020-09-21 |
Last Update Date | 2023-07-31 |