NPI | 1790918134 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MA 3695) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 000404) |
Enumeration Date | 2009-09-02 |
Last Update Date | 2009-09-02 |