NPI | 1124418314 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180010506) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.009790) |
Enumeration Date | 2015-01-27 |
Last Update Date | 2017-03-09 |