| NPI | 1972185718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 10089) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 10089) |
| 101YM0800X Counselor, Mental Health (Licence: 6086) | |
| 101YP2500X Counselor, Professional (Licence: CA 10089) | |
| 101YP2500X Counselor, Professional (Licence: CA 6086) | |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-12-16 |