NPI | 1700921434 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6422) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 2351) |
Enumeration Date | 2007-02-20 |
Last Update Date | 2016-03-19 |