NPI | 1710657101 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPCC.0021294) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.0021294) |
Enumeration Date | 2021-09-16 |
Last Update Date | 2024-11-18 |