NPI | 1669136271 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12393) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC15113) |
Enumeration Date | 2021-10-29 |
Last Update Date | 2022-09-22 |