NPI | 1083482970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPCC.0021489) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.0021489) |
Enumeration Date | 2023-12-19 |
Last Update Date | 2024-09-26 |