NPI | 1184109563 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC10713) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA APCC5281) |
101YP2500X Counselor, Professional (Licence: CA LPCC10713) | |
Enumeration Date | 2018-10-01 |
Last Update Date | 2023-06-06 |