NPI | 1164719662 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 4036) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 3498) |
Enumeration Date | 2011-07-05 |
Last Update Date | 2011-07-05 |