NPI | 1447876495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 16992) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 7740) |
Enumeration Date | 2020-06-24 |
Last Update Date | 2024-10-30 |