NPI | 1548539851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 6088) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: OK IN PROCESS) |
101Y00000X Counselor | |
Enumeration Date | 2011-12-16 |
Last Update Date | 2016-11-29 |