NPI | 1295831600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180012184) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2008034851) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2024-07-23 |