NPI | 1548975550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 20119) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO 0021578) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2023-01-16 |
Last Update Date | 2025-08-06 |