NPI | 1568000602 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.014112) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178015537) |
Enumeration Date | 2019-12-19 |
Last Update Date | 2024-02-15 |