NPI | 1568074482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC13063) |
Additional Taxonomies | 101Y00000X Counselor |
101YP2500X Counselor, Professional | |
101YS0200X Counselor, School (Licence: MD 3037) | |
Enumeration Date | 2020-08-21 |
Last Update Date | 2023-05-17 |