NPI | 1639471600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007312) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178006995) |
Enumeration Date | 2010-11-24 |
Last Update Date | 2021-09-20 |