NPI | 1205679313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LGP15092) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC LGPC200001689) |
Enumeration Date | 2024-06-17 |
Last Update Date | 2024-08-27 |