NPI | 1790370237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: CA LPCC18738) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 18738) |
101Y00000X Counselor (Licence: NV CP6060-R) | |
Enumeration Date | 2021-03-06 |
Last Update Date | 2025-08-20 |