NPI | 1447934831 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019898) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.0018823) |
Enumeration Date | 2023-06-14 |
Last Update Date | 2023-10-16 |