NPI | 1629706387 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC11291) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2017009253) |
Enumeration Date | 2022-08-10 |
Last Update Date | 2022-08-10 |