NPI | 1235665274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180013659) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178014752) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2021-06-09 |