NPI | 1578069506 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.012687) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178012424) |
Enumeration Date | 2018-03-30 |
Last Update Date | 2022-06-13 |