NPI | 1679075220 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0136178) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA APCC7120) |
101Y00000X Counselor (Licence: VT 097.0136167) | |
Enumeration Date | 2018-02-28 |
Last Update Date | 2024-10-25 |