NPI | 1235616590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC6987) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 6050) |
Enumeration Date | 2018-07-19 |
Last Update Date | 2018-07-19 |