NPI | 1235145939 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0013493) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC004433) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2022-07-21 |