NPI | 1033768684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017810) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.0016998) |
101YP2500X Counselor, Professional | |
Enumeration Date | 2019-09-06 |
Last Update Date | 2021-12-14 |