NPI | 1477065159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA 61123929) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
101YP2500X Counselor, Professional (Licence: CA 8284) | |
Enumeration Date | 2017-11-02 |
Last Update Date | 2022-06-09 |