NPI | 1982243416 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0017936) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.001735) |
Enumeration Date | 2020-01-01 |
Last Update Date | 2022-01-25 |