NPI | 1932319522 |
---|---|
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 (Licence: CA PSB94025534) |
101YM0800X Counselor, Mental Health (Licence: MA 8143) | |
Enumeration Date | 2007-05-23 |
Last Update Date | 2020-12-14 |