NPI | 1013390640 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 1564) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MS 2001) |
Enumeration Date | 2015-07-01 |
Last Update Date | 2018-11-13 |