NPI | 1174615678 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005408) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00341800) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2008-12-10 |