NPI | 1689945503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 100156) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2012-01-24 |
Last Update Date | 2018-03-17 |