NPI | 1255719381 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 9661) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 9661) |
101YM0800X Counselor, Mental Health (Licence: CA 9661) | |
101YP2500X Counselor, Professional (Licence: CA 3744) | |
Enumeration Date | 2015-05-08 |
Last Update Date | 2021-06-04 |