NPI | 1184787053 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NE 1259) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NE 2268) |
101YP2500X Counselor, Professional (Licence: NE 1263) | |
Enumeration Date | 2006-12-19 |
Last Update Date | 2023-10-02 |