NPI | 1639543465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA PCCi3450) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 631285) |
101Y00000X Counselor | |
Enumeration Date | 2015-11-17 |
Last Update Date | 2016-11-04 |