NPI | 1417580960 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019490) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.014986) |
Enumeration Date | 2020-02-12 |
Last Update Date | 2025-06-26 |