NPI | 1558884023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180011035) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180011035) |
Enumeration Date | 2017-07-17 |
Last Update Date | 2020-04-25 |