NPI | 1124225370 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC2729) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC005292) |
Enumeration Date | 2007-06-29 |
Last Update Date | 2020-02-21 |