NPI | 1548632441 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012849) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180009046) |
Enumeration Date | 2015-10-30 |
Last Update Date | 2017-04-20 |