| NPI | 1164743936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.007463) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401008389) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2016-11-03 |