| NPI | 1184647554 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-005450) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA 60206734) | 
| Enumeration Date | 2006-07-25 | 
| Last Update Date | 2015-03-18 |