NPI | 1265685804 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.015569) |
Additional Taxonomies | 101Y00000X Counselor |
225C00000X Rehabilitation Counselor (Licence: CA CRC 00108799) | |
Enumeration Date | 2008-10-28 |
Last Update Date | 2023-10-26 |