NPI | 1376135962 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.016211) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.015720) |
Enumeration Date | 2021-02-05 |
Last Update Date | 2024-06-28 |