NPI | 1295978153 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2021009968) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 00181) |
Enumeration Date | 2009-04-08 |
Last Update Date | 2023-06-19 |