NPI | 1629198395 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 5226) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AR A0608052) |
101YP2500X Counselor, Professional (Licence: AR P0904024) | |
Enumeration Date | 2007-03-29 |
Last Update Date | 2022-05-12 |