NPI | 1861744351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA lpcc7674) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA PCCI: 1879) |
Enumeration Date | 2012-10-08 |
Last Update Date | 2020-05-15 |