NPI | 1124613401 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC9221) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC007600) |
Enumeration Date | 2021-03-08 |
Last Update Date | 2021-03-11 |