NPI | 1902559743 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0014809) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 6704) |
Enumeration Date | 2022-02-01 |
Last Update Date | 2022-06-23 |