NPI | 1306367032 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC7527) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 4032) |
Enumeration Date | 2017-07-03 |
Last Update Date | 2024-08-13 |