NPI | 1881790244 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0015254) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2002010917) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2019-03-15 |