NPI | 1356804058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW110926) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW92988) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-09 |
Last Update Date | 2022-11-30 |