NPI | 1710591615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC13966) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC8582) |
Enumeration Date | 2020-09-08 |
Last Update Date | 2023-06-13 |