| NPI | 1013140839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2009023896) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180009365) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2015-04-06 |