NPI | 1720257728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 1588) |
Additional Taxonomies | 101Y00000X Counselor (Licence: LA 139) |
101YP2500X Counselor, Professional (Licence: LA 202454) | |
Enumeration Date | 2008-02-22 |
Last Update Date | 2008-02-22 |