NPI | 1679212450 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL Mh23416) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC.0018327) |
Enumeration Date | 2022-06-01 |
Last Update Date | 2024-08-08 |