NPI | 1518590165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC12854) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC7358) |
Enumeration Date | 2020-02-21 |
Last Update Date | 2024-12-05 |