NPI | 1124407630 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0015314) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
101YS0200X Counselor, School (Licence: OK 404312) | |
Enumeration Date | 2015-05-29 |
Last Update Date | 2024-01-10 |