NPI | 1689702185 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 3356) |
Additional Taxonomies | 101Y00000X Counselor (Licence: LA 79797) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2015-08-17 |