NPI | 1972935690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008721) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401223350) |
Enumeration Date | 2013-08-05 |
Last Update Date | 2024-03-04 |