NPI | 1598544389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019834) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.015530) |
Enumeration Date | 2023-09-21 |
Last Update Date | 2024-09-06 |