NPI | 1295191807 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 6329) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 6329) |
101YM0800X Counselor, Mental Health (Licence: CA 6329) | |
Enumeration Date | 2016-01-12 |
Last Update Date | 2019-05-01 |