NPI | 1396464129 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 1100-12-1-20A) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 1100-12-1-20-530) |
Enumeration Date | 2022-08-24 |
Last Update Date | 2023-08-08 |