NPI | 1265624100 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-6826) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID 3891) |
Enumeration Date | 2007-08-14 |
Last Update Date | 2023-09-06 |