NPI | 1013502715 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 11576-125) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4896-266) |
Enumeration Date | 2021-03-04 |
Last Update Date | 2025-02-20 |