| NPI | 1083066153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.006625) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-16121) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-14 |