NPI | 1245776855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC13283) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC5461) |
Enumeration Date | 2017-01-06 |
Last Update Date | 2023-02-23 |