NPI | 1639816465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180015099) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178016312) |
Enumeration Date | 2022-05-13 |
Last Update Date | 2023-08-03 |