NPI | 1720636020 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017359) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.0016830) |
Enumeration Date | 2019-08-29 |
Last Update Date | 2021-07-22 |