NPI | 1194439398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFT47608) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA MF001302) |
Enumeration Date | 2023-01-11 |
Last Update Date | 2023-01-11 |