NPI | 1124410147 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.010767) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.011276) |
Enumeration Date | 2015-02-27 |
Last Update Date | 2017-11-29 |