NPI | 1174092811 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 2993) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0011787) |
Enumeration Date | 2018-11-23 |
Last Update Date | 2018-11-23 |