NPI | 1245935105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0020805) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0019638) |
Enumeration Date | 2023-03-31 |
Last Update Date | 2025-03-26 |