NPI | 1144630039 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 104723) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 090275-1) |
Enumeration Date | 2014-05-01 |
Last Update Date | 2022-03-03 |