NPI | 1265736243 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0014140) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AL 2756) |
Enumeration Date | 2011-01-05 |
Last Update Date | 2019-06-03 |