NPI | 1174718068 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: GA 003161) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC 53620) |
Enumeration Date | 2007-09-13 |
Last Update Date | 2014-04-21 |