NPI | 1659844934 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC11910) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC5935) |
Enumeration Date | 2019-01-09 |
Last Update Date | 2022-07-29 |