NPI | 1891242400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014291) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.011973) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2020-12-28 |