| NPI | 1124314414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.007913) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178.005922) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2021-09-27 |