NPI | 1295154771 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701008036) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC6341) |
101YP2500X Counselor, Professional (Licence: CA LPCC5155) | |
Enumeration Date | 2014-04-10 |
Last Update Date | 2024-07-31 |