| NPI | 1134430861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2010009460) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.006908) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2024-11-12 |