NPI | 1093119257 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC6939) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA PCCI3220) |
Enumeration Date | 2014-10-17 |
Last Update Date | 2023-05-25 |