| NPI | 1023261443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4919-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.000823) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2015-07-01 |