NPI | 1578045365 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 12753) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 5469) |
101YP2500X Counselor, Professional (Licence: CA 5469) | |
Enumeration Date | 2018-08-29 |
Last Update Date | 2022-12-07 |