NPI | 1467104612 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: IL 397724) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.016401) |
Enumeration Date | 2022-01-19 |
Last Update Date | 2022-01-19 |