NPI | 1326526286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 166.001375) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 208.000583) |
Enumeration Date | 2018-08-02 |
Last Update Date | 2020-08-19 |