NPI | 1356846828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016381) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0015790) |
Enumeration Date | 2018-03-27 |
Last Update Date | 2020-08-14 |