NPI | 1316921950 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA 003503PA) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO CO3404) |
101Y00000X Counselor (Licence: PA 003503PA) | |
101YP2500X Counselor, Professional (Licence: CO C03404) | |
Enumeration Date | 2005-12-06 |
Last Update Date | 2019-07-11 |