NPI | 1649814732 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0015523) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 6396) |
Enumeration Date | 2019-10-31 |
Last Update Date | 2019-10-31 |