NPI | 1033361878 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.006314) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00315400) |
Enumeration Date | 2008-10-10 |
Last Update Date | 2021-10-12 |