NPI | 1316339021 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180006328) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2001005762) |
Enumeration Date | 2015-03-04 |
Last Update Date | 2015-03-04 |