NPI | 1538100219 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC NBCC #36874) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC LPC #1925) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2016-02-04 |