NPI | 1548639891 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180009878) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178006846) |
Enumeration Date | 2015-09-16 |
Last Update Date | 2021-03-30 |