| NPI | 1053359596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2006012565) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180005833) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2007-07-08 |