NPI | 1881229854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC22850) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.014070) |
Enumeration Date | 2020-03-10 |
Last Update Date | 2024-11-22 |