NPI | 1790102325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: CA 97846) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2014-03-20 |
Last Update Date | 2022-10-26 |