NPI | 1477093672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 140052) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN256371) |
Enumeration Date | 2017-03-07 |
Last Update Date | 2023-10-23 |