NPI | 1720392160 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: IA 00348) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IA 04680) |
Enumeration Date | 2010-07-27 |
Last Update Date | 2010-07-27 |