NPI | 1023649928 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: KY 100310) |
Additional Taxonomies | 101Y00000X Counselor (Licence: 100310) |
Enumeration Date | 2020-01-29 |
Last Update Date | 2020-01-29 |