NPI | 1417350737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 10497) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NCC 320116) |
101YP2500X Counselor, Professional (Licence: NC A10497) | |
Enumeration Date | 2014-10-01 |
Last Update Date | 2018-05-22 |