NPI | 1003329905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: ID LCPC-8350) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OR C7279) |
101Y00000X Counselor | |
Enumeration Date | 2017-11-14 |
Last Update Date | 2024-05-01 |