NPI | 1225597818 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC15804) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC010767) |
Enumeration Date | 2019-03-14 |
Last Update Date | 2025-01-02 |