NPI | 1306147517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: LA LAC1249) |
Additional Taxonomies | 101Y00000X Counselor (Licence: LA CRC00109065) |
Enumeration Date | 2010-11-04 |
Last Update Date | 2010-11-04 |