NPI | 1972844413 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701014839) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL TPMC1098) |
101YP2500X Counselor, Professional (Licence: PA PC010948) | |
Enumeration Date | 2013-03-07 |
Last Update Date | 2025-06-27 |