NPI | 1366967473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 7336) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 7336) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 7336) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-08-09 |
Last Update Date | 2023-06-06 |