NPI | 1386076214 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0011570) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO NLC.0012946) |
101YP2500X Counselor, Professional (Licence: CO LPP.0001281) | |
Enumeration Date | 2013-08-02 |
Last Update Date | 2013-08-02 |