NPI | 1619590767 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.012816) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: IL 2389769) |
Enumeration Date | 2020-05-23 |
Last Update Date | 2020-05-23 |