NPI | 1003406190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC12496) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 3751) |
Enumeration Date | 2021-01-22 |
Last Update Date | 2024-11-21 |