| NPI | 1093145930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.009428) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C5037) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2018-12-14 |