NPI | 1801031208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2006034210) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.004453) |
Enumeration Date | 2008-12-14 |
Last Update Date | 2008-12-14 |