NPI | 1457829467 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180015498) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LPC-23306) |
Enumeration Date | 2018-11-07 |
Last Update Date | 2024-10-04 |