NPI | 1881285633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC14691) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC9053) |
Enumeration Date | 2021-02-02 |
Last Update Date | 2024-08-29 |