NPI | 1053534834 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH 13545) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC003112) |
101YP2500X Counselor, Professional (Licence: NM 0125261) | |
101YP2500X Counselor, Professional (Licence: WA LH 60421233) | |
Enumeration Date | 2007-04-10 |
Last Update Date | 2016-01-06 |