NPI | 1609505783 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC04965) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NV CP5596-R) |
101YP2500X Counselor, Professional (Licence: MO 025014696) | |
Enumeration Date | 2022-06-06 |
Last Update Date | 2025-09-16 |