NPI | 1225388762 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701007010) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC3920) |
Enumeration Date | 2012-09-12 |
Last Update Date | 2019-03-04 |