NPI | 1649477506 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 38656) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 00013372) |
Enumeration Date | 2007-07-02 |
Last Update Date | 2007-07-08 |