NPI | 1346710878 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 97126) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA 97126) |
225400000X Rehabilitation Practitioner | |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2018-11-27 |
Last Update Date | 2021-04-20 |