NPI | 1417629304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC18488) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC10120) |
Enumeration Date | 2021-09-29 |
Last Update Date | 2025-01-24 |