NPI | 1063156578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SD LPC20605) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC23877) |
101YP2500X Counselor, Professional (Licence: MN 2492) | |
Enumeration Date | 2022-04-21 |
Last Update Date | 2025-04-29 |