NPI | 1407278328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 1753) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH C2970) |
Enumeration Date | 2014-01-11 |
Last Update Date | 2014-01-11 |