NPI | 1487373288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0020964) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.0019441) |
Enumeration Date | 2022-08-24 |
Last Update Date | 2024-08-13 |