NPI | 1457709834 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012986) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 1899) |
Enumeration Date | 2016-05-26 |
Last Update Date | 2021-06-29 |