NPI | 1346757622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180009726) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: IL 00116497) |
Enumeration Date | 2018-01-08 |
Last Update Date | 2018-03-17 |