NPI | 1497091755 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: NM 5626) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NM certification) |
Enumeration Date | 2012-12-13 |
Last Update Date | 2012-12-13 |