NPI | 1629575089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 13742) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC A13742) |
Enumeration Date | 2018-04-11 |
Last Update Date | 2020-09-01 |