NPI | 1538941182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0018948) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO 0018948) |
Enumeration Date | 2023-10-18 |
Last Update Date | 2024-11-13 |