NPI | 1386397446 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC16376) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC10671) |
Enumeration Date | 2022-01-30 |
Last Update Date | 2024-06-06 |