NPI | 1063877140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0014933) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A12080) |
Enumeration Date | 2015-12-16 |
Last Update Date | 2024-01-08 |