NPI | 1134351554 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 00079107) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA CI 4098) |
Enumeration Date | 2009-08-18 |
Last Update Date | 2009-08-18 |