NPI | 1992260483 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017181) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPP0001530) |
Enumeration Date | 2019-02-08 |
Last Update Date | 2021-07-07 |