NPI | 1568968865 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.012206) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.013373) |
Enumeration Date | 2018-04-04 |
Last Update Date | 2023-09-18 |