NPI | 1336753169 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 104046) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2020-08-31 |
Last Update Date | 2021-09-16 |