NPI | 1619517877 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC16293) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA AP6436) |
Enumeration Date | 2020-01-15 |
Last Update Date | 2024-06-26 |