NPI | 1619261849 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2011015154) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 19238) |
Enumeration Date | 2011-06-06 |
Last Update Date | 2025-07-31 |