NPI | 1215579438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6754) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 012460) |
Enumeration Date | 2019-10-09 |
Last Update Date | 2022-04-14 |