NPI | 1891234019 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 14313) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.012498) |
Enumeration Date | 2017-02-21 |
Last Update Date | 2019-10-08 |