NPI | 1851679823 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2011029171) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.012074) |
Enumeration Date | 2011-07-25 |
Last Update Date | 2022-07-06 |