NPI | 1275084915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180012389) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.012074) |
Enumeration Date | 2016-10-18 |
Last Update Date | 2020-07-30 |