NPI | 1982191094 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701010846) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00622700) |
Enumeration Date | 2018-04-16 |
Last Update Date | 2023-12-20 |