NPI | 1356937155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017124) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC012860) |
Enumeration Date | 2020-12-15 |
Last Update Date | 2024-05-15 |