NPI | 1073102141 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178016346) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: IL 446036) |
Enumeration Date | 2021-01-13 |
Last Update Date | 2021-01-13 |