NPI | 1710459789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.016297) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 13009) |
Enumeration Date | 2019-01-01 |
Last Update Date | 2025-07-21 |