NPI | 1356583934 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MA 6946) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 6946) |
Enumeration Date | 2009-03-30 |
Last Update Date | 2009-03-30 |