NPI | 1912429796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0015354) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO NLC.0106113) |
Enumeration Date | 2017-07-12 |
Last Update Date | 2019-04-17 |