NPI | 1154885309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017102) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0016331) |
Enumeration Date | 2019-01-22 |
Last Update Date | 2021-10-15 |