NPI | 1174270300 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0018040) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178016256) |
101YS0200X Counselor, School (Licence: CO 318455) | |
101YS0200X Counselor, School (Licence: IL 2419963) | |
Enumeration Date | 2022-03-08 |
Last Update Date | 2022-03-08 |