NPI | 1629272315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 3460) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401000447) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2007-07-08 |