NPI | 1417613357 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC17222) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA APCC11275) |
Enumeration Date | 2021-11-15 |
Last Update Date | 2024-09-17 |