NPI | 1306518881 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 18865) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 4252) |
Enumeration Date | 2021-10-01 |
Last Update Date | 2024-04-09 |