NPI | 1033306089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003832) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 0629) |
101YP2500X Counselor, Professional (Licence: AL 2763) | |
Enumeration Date | 2007-10-03 |
Last Update Date | 2018-11-12 |