| 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 |