NPI | 1770096323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 10095) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 4531) |
Enumeration Date | 2017-11-06 |
Last Update Date | 2021-10-19 |