NPI | 1760974596 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 101YP2500X) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2018013675) |
Enumeration Date | 2018-06-06 |
Last Update Date | 2023-03-23 |