NPI | 1073833018 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC006726) |
Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH22516) |
Enumeration Date | 2010-06-01 |
Last Update Date | 2024-02-15 |