NPI | 1447542154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC5501) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC0048200) |
101YP2500X Counselor, Professional (Licence: DE PC-0000730) | |
Enumeration Date | 2011-05-12 |
Last Update Date | 2024-01-25 |