NPI | 1164053393 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: CA APCC7390) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 7390) |
Enumeration Date | 2020-01-27 |
Last Update Date | 2024-08-22 |