NPI | 1073606976 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC LPC2532) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC LPCS3214) |
101YP2500X Counselor, Professional (Licence: SC NCC42410) | |
Enumeration Date | 2006-10-02 |
Last Update Date | 2007-07-08 |