NPI | 1669470787 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 5255) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY 915) |
Enumeration Date | 2005-07-12 |
Last Update Date | 2017-02-20 |