NPI | 1093024135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC006158) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2727) |
101YP2500X Counselor, Professional (Licence: NV 3261) | |
Enumeration Date | 2010-10-06 |
Last Update Date | 2023-12-21 |