NPI | 1811512502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2587) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WV 553) |
Enumeration Date | 2020-06-09 |
Last Update Date | 2021-07-07 |