NPI | 1972089308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 15334) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 15334) |
Enumeration Date | 2018-07-18 |
Last Update Date | 2024-06-20 |