NPI | 1154850816 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NY 091265) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NY 102630) |
101Y00000X Counselor | |
Enumeration Date | 2017-06-07 |
Last Update Date | 2022-07-21 |