NPI | 1740636075 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 4075) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2016013362) |
Enumeration Date | 2016-05-05 |
Last Update Date | 2024-09-14 |