NPI | 1669838066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180011674) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.011314) |
Enumeration Date | 2016-01-14 |
Last Update Date | 2021-01-10 |