NPI | 1922678069 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2021014488) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.013407) |
Enumeration Date | 2021-06-30 |
Last Update Date | 2021-06-30 |