NPI | 1093570822 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SD LPC21076) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC-0020256) |
Enumeration Date | 2024-02-20 |
Last Update Date | 2025-05-06 |