| NPI | 1962206573 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA APCC18692) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2025-04-04 |