NPI | 1174767560 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5285) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 5068) |
Enumeration Date | 2009-04-29 |
Last Update Date | 2019-05-09 |