NPI | 1396023065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: ID LPC 4616) |
Additional Taxonomies | 101Y00000X Counselor (Licence: ID LCPC5443) |
Enumeration Date | 2011-07-29 |
Last Update Date | 2019-02-14 |