NPI | 1578951786 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.007666) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: IL 00016183) |
Enumeration Date | 2014-12-23 |
Last Update Date | 2015-09-04 |