| NPI | 1114360864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5645-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.009718) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2015-06-04 |