NPI | 1659837375 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC-9925) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: CA 00150531) |
Enumeration Date | 2019-02-19 |
Last Update Date | 2024-08-10 |