NPI | 1972153286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0019070) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
101Y00000X Counselor (Licence: CO 0017939) | |
Enumeration Date | 2019-09-18 |
Last Update Date | 2024-07-08 |