NPI | 1588728547 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC LPC2721) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC LPCS3413) |
Enumeration Date | 2006-12-21 |
Last Update Date | 2007-07-08 |