NPI | 1801093323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC14550) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: UT 6642468-6009) |
Enumeration Date | 2007-06-28 |
Last Update Date | 2024-01-13 |