NPI | 1184385635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPPC10720) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA LPPC10720) |
101YP2500X Counselor, Professional (Licence: CA LPPC10720) | |
102L00000X Psychoanalyst (Licence: CA LPPC10720) | |
Enumeration Date | 2022-01-06 |
Last Update Date | 2022-01-11 |