NPI | 1053359596 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2006012565) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180005833) |
Enumeration Date | 2006-06-04 |
Last Update Date | 2007-07-08 |