NPI | 1710120837 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 1800003657) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: IL 180-003657) |
Enumeration Date | 2009-04-20 |
Last Update Date | 2009-04-20 |