NPI | 1205520186 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 13074) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 13074) |
Enumeration Date | 2023-06-05 |
Last Update Date | 2023-06-05 |