NPI | 1285705616 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD 0094) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC 80000101) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2007-07-08 |