NPI | 1164730610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DE PC-0000587) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701004882) |
Enumeration Date | 2010-09-17 |
Last Update Date | 2022-06-28 |