NPI | 1043470644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC LPC7121) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK 484) |
Enumeration Date | 2008-06-17 |
Last Update Date | 2019-05-22 |