NPI | 1568882413 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC5600) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14388) |
Enumeration Date | 2014-04-18 |
Last Update Date | 2021-05-28 |