NPI | 1750753299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180004509) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 5915-125) |
Enumeration Date | 2015-10-23 |
Last Update Date | 2016-03-15 |