NPI | 1609540665 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 110874) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-08-03 |
Last Update Date | 2022-10-19 |