NPI | 1770763393 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN LPC0000005742) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180 006675) |
Enumeration Date | 2007-11-12 |
Last Update Date | 2023-01-03 |