NPI | 1972058295 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.011558) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IN 39004877A) |
101YP2500X Counselor, Professional (Licence: SD LPC-MH30730) | |
Enumeration Date | 2016-08-16 |
Last Update Date | 2024-11-18 |