NPI | 1982355475 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.014615) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.015111) |
Enumeration Date | 2022-01-16 |
Last Update Date | 2024-03-19 |