NPI | 1174945018 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC14675) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA APCC3559) |
101YM0800X Counselor, Mental Health (Licence: CA APCC3559) | |
101YM0800X Counselor, Mental Health (Licence: CA APCC6861) | |
101YP2500X Counselor, Professional (Licence: CA APCC6861) | |
Enumeration Date | 2014-01-13 |
Last Update Date | 2023-11-29 |