NPI | 1790231538 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.010899) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.013120) |
Enumeration Date | 2016-08-31 |
Last Update Date | 2020-08-31 |