NPI | 1912274374 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180004662) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: IL 00038190) |
Enumeration Date | 2011-11-29 |
Last Update Date | 2012-01-09 |