NPI | 1023150174 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC10275) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2006009845) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2022-03-15 |