NPI | 1124638069 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8579-125) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4702-226) |
Enumeration Date | 2020-08-05 |
Last Update Date | 2022-11-02 |