NPI | 1205353604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017213) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2017-08-25 |
Last Update Date | 2021-10-21 |