NPI | 1588939391 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 4302) |
Additional Taxonomies | 101Y00000X Counselor (Licence: LA 4302) |
Enumeration Date | 2012-03-12 |
Last Update Date | 2017-04-13 |