NPI | 1508163551 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 2652) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO 2652) |
Enumeration Date | 2011-02-26 |
Last Update Date | 2011-02-26 |