NPI | 1962819847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC007940) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MSG008037) |
Enumeration Date | 2014-07-12 |
Last Update Date | 2019-05-05 |