NPI | 1316344849 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012969) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME CC6775) |
Enumeration Date | 2014-11-26 |
Last Update Date | 2024-03-21 |