NPI | 1235591942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: AL 3227) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WY LPC 1562) |
Enumeration Date | 2016-03-22 |
Last Update Date | 2020-11-12 |