NPI | 1770890691 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2001009452) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 5741) |
Enumeration Date | 2010-09-13 |
Last Update Date | 2010-09-13 |