NPI | 1205593217 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 100948) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 100948) |
Enumeration Date | 2021-11-24 |
Last Update Date | 2022-03-22 |