NPI | 1184647554 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-005450) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA 60206734) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2015-03-18 |