NPI | 1689989634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC LPC13457) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC3122) |
Enumeration Date | 2010-08-15 |
Last Update Date | 2022-02-22 |