NPI | 1417068354 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 875) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: UT 7630131-6004) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2013-04-23 |