NPI | 1043980139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.016118) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL TPMC5372) |
Enumeration Date | 2021-09-20 |
Last Update Date | 2024-11-05 |