NPI | 1194154146 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA APCC7187) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 7187) |
Enumeration Date | 2013-11-09 |
Last Update Date | 2021-05-19 |