NPI | 1033692330 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005631) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC13994) |
Enumeration Date | 2018-09-12 |
Last Update Date | 2018-09-12 |