NPI | 1235669763 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178011187) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: IL 1001524) |
Enumeration Date | 2017-06-18 |
Last Update Date | 2017-06-18 |