NPI | 1700901535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 1268) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 6521) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2021-03-09 |