NPI | 1992283923 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 15345) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 5232) |
Enumeration Date | 2018-08-01 |
Last Update Date | 2024-05-22 |