NPI | 1629753215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: CA 140596) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 140596) |
171M00000X Case Manager/Care Coordinator | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2023-06-20 |
Last Update Date | 2024-06-13 |