NPI | 1003331695 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 17309) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2537) |
Enumeration Date | 2017-08-04 |
Last Update Date | 2023-10-11 |