NPI | 1811212517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5287) |
Additional Taxonomies | 101Y00000X Counselor (Licence: SC 288696) |
Enumeration Date | 2010-04-06 |
Last Update Date | 2016-01-07 |