NPI | 1417206137 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC00011255) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO 11773) |
Enumeration Date | 2012-09-10 |
Last Update Date | 2013-02-21 |