| NPI | 1053766980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2008027607) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180008597) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-11-19 |