| NPI | 1073652723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2006001483) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180005674) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |