NPI | 1487960308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC6154) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701004833) |
Enumeration Date | 2010-08-30 |
Last Update Date | 2022-11-17 |