NPI | 1154043552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701011790) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701011790) |
101YP2500X Counselor, Professional (Licence: SC 9301) | |
Enumeration Date | 2022-09-13 |
Last Update Date | 2024-10-30 |