NPI | 1518327360 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 009007) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 7177) |
Enumeration Date | 2016-03-07 |
Last Update Date | 2022-01-29 |