NPI | 1013622968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 13700677-6004) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 1321-9-1-23-554) |
101YP2500X Counselor, Professional (Licence: MN 4278) | |
Enumeration Date | 2023-01-16 |
Last Update Date | 2024-10-15 |