NPI | 1114360864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5645-125) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.009718) |
Enumeration Date | 2013-04-12 |
Last Update Date | 2015-06-04 |