NPI | 1578697744 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401012931) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.005632) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2012-10-15 |