NPI | 1073854345 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019038) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO 0019038) |
Enumeration Date | 2013-03-11 |
Last Update Date | 2024-10-28 |