NPI | 1487214565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017362) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C7866) |
Enumeration Date | 2019-06-19 |
Last Update Date | 2025-06-21 |