NPI | 1871081513 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 82823) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 105624) |
Enumeration Date | 2018-04-27 |
Last Update Date | 2023-06-29 |