NPI | 1245536929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH 10588) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.003736) |
Enumeration Date | 2011-01-28 |
Last Update Date | 2016-01-26 |