NPI | 1972094043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014318) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 14318) |
101YP2500X Counselor, Professional (Licence: WY LPC-3000) | |
Enumeration Date | 2018-05-24 |
Last Update Date | 2023-07-06 |