NPI | 1619455086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 14116) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 14218) |
Enumeration Date | 2018-07-30 |
Last Update Date | 2024-04-15 |