| NPI | 1558974824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA LPCC7793) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC008696) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |