NPI | 1235517103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.013046) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.010436) |
Enumeration Date | 2015-05-12 |
Last Update Date | 2022-04-21 |