NPI | 1659737252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA APCC11813) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2016-01-12 |
Last Update Date | 2022-10-31 |