NPI | 1134753940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401018058) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6451018058) |
Enumeration Date | 2020-03-02 |
Last Update Date | 2023-10-26 |