NPI | 1467782128 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2009036108) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC8020) |
Enumeration Date | 2009-12-31 |
Last Update Date | 2021-12-13 |