NPI | 1295769974 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN LPC0000000985) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701003653) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2007-07-08 |