NPI | 1922638915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014310) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: CO LPC.0014310) |
101YP2500X Counselor, Professional (Licence: CO 0014310) | |
Enumeration Date | 2020-01-19 |
Last Update Date | 2021-02-08 |