NPI | 1528518123 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 106142) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
171M00000X Case Manager/Care Coordinator | |
225700000X Massage Therapist (Licence: CA 71458) | |
Enumeration Date | 2016-10-06 |
Last Update Date | 2023-05-08 |