NPI | 1104309772 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8517-125) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3895-226) |
Enumeration Date | 2018-09-10 |
Last Update Date | 2022-11-14 |