NPI | 1043613094 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.009400) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.007184) |
Enumeration Date | 2014-10-06 |
Last Update Date | 2014-11-25 |