| NPI | 1093828063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.006721) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2011003229) |
| 101YP2500X Counselor, Professional (Licence: AR P1603031) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2016-04-13 |