NPI | 1205029618 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 2718) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD 4767) |
101YP2500X Counselor, Professional (Licence: DC 14204) | |
Enumeration Date | 2007-08-20 |
Last Update Date | 2023-07-27 |