NPI | 1255988085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 14484) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 14484) |
101Y00000X Counselor (Licence: CA 14484) | |
Enumeration Date | 2019-08-26 |
Last Update Date | 2023-08-18 |