NPI | 1588272363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 113952) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 113952) |
101YM0800X Counselor, Mental Health (Licence: CA 75790) | |
Enumeration Date | 2020-07-17 |
Last Update Date | 2023-06-29 |