NPI | 1609270370 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 66966) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
101YM0800X Counselor, Mental Health | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-10-09 |
Last Update Date | 2017-11-09 |