NPI | 1760652325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: PA PC002402) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC011609) |
Enumeration Date | 2008-03-10 |
Last Update Date | 2021-03-12 |