| NPI | 1104052265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.010458) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.006100) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2016-08-15 |