NPI | 1033637418 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC15172) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC10025) |
101YP2500X Counselor, Professional (Licence: VA 0701009133) | |
Enumeration Date | 2017-09-06 |
Last Update Date | 2024-04-24 |