NPI | 1962706176 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005467) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14138) |
Enumeration Date | 2011-01-03 |
Last Update Date | 2019-01-27 |