NPI | 1629744479 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 124781) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 9409) |
Enumeration Date | 2021-08-20 |
Last Update Date | 2021-08-20 |