NPI | 1871093237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 11185) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: UT 9193274-6009) | |
101YM0800X Counselor, Mental Health (Licence: CA 11185) | |
Enumeration Date | 2018-02-12 |
Last Update Date | 2022-09-08 |