NPI | 1598158024 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC16319) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC017823) |
Enumeration Date | 2015-03-09 |
Last Update Date | 2025-03-28 |