NPI | 1578822458 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.013654) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401011124) |
Enumeration Date | 2012-05-11 |
Last Update Date | 2024-03-06 |