NPI | 1639839608 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 12474) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA APCC5937) |
101YP2500X Counselor Professional | |
Enumeration Date | 2021-12-17 |
Last Update Date | 2023-10-13 |