NPI | 1396091856 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12392) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701005248) |
Enumeration Date | 2012-08-01 |
Last Update Date | 2017-01-25 |