NPI | 1902055338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180012007) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2008018987) |
Enumeration Date | 2008-09-10 |
Last Update Date | 2022-10-21 |