NPI | 1275127334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC16099) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0015542) |
Enumeration Date | 2021-03-01 |
Last Update Date | 2024-07-01 |