NPI | 1174252969 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 108727) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 108727) |
Enumeration Date | 2022-06-07 |
Last Update Date | 2023-10-11 |