NPI | 1619498631 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 101235) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 101235) |
Enumeration Date | 2017-06-29 |
Last Update Date | 2022-01-25 |