NPI | 1033112826 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-005794) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178-002729) |
Enumeration Date | 2005-05-24 |
Last Update Date | 2010-04-08 |