NPI | 1063779064 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5534) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 66797) |
101YP2500X Counselor, Professional (Licence: OH C0800111) | |
Enumeration Date | 2012-04-13 |
Last Update Date | 2013-06-11 |