NPI | 1639447220 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701007179) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 3367) |
101YP2500X Counselor, Professional (Licence: MD LC3702) | |
Enumeration Date | 2011-12-09 |
Last Update Date | 2018-03-17 |