NPI | 1487258364 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701008863) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 010970) |
Enumeration Date | 2020-11-23 |
Last Update Date | 2020-11-24 |