| NPI | 1144035403 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC17567) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-12 |