NPI | 1497234157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2018029619) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 3183) |
Enumeration Date | 2018-08-13 |
Last Update Date | 2021-06-29 |