NPI | 1265252613 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 9634) |
Additional Taxonomies | 251S00000X (Licence: SC 1003093733) |
Enumeration Date | 2024-10-11 |
Last Update Date | 2024-10-11 |