NPI | 1578881298 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC0012024) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH20074) |
Enumeration Date | 2010-05-05 |
Last Update Date | 2023-01-19 |