NPI | 1912337809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: CA 9803) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 9803) |
101YM0800X Counselor, Mental Health (Licence: CA PCCI1888) | |
Enumeration Date | 2013-11-14 |
Last Update Date | 2024-10-18 |