NPI | 1740830280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701008599) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC011169) |
Enumeration Date | 2019-09-17 |
Last Update Date | 2019-09-17 |