NPI | 1740548585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2012009265) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NV CP5007-R) |
101YP2500X Counselor, Professional (Licence: CA LPCC7895) | |
Enumeration Date | 2012-04-30 |
Last Update Date | 2024-08-29 |