NPI | 1023299963 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC005135) |
Additional Taxonomies | 101Y00000X Counselor (Licence: GA 001300) |
Enumeration Date | 2007-11-20 |
Last Update Date | 2022-12-07 |