NPI | 1528725611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC04498) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701015135) |
Enumeration Date | 2021-11-23 |
Last Update Date | 2025-09-05 |