| NPI | 1194169896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.009480) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178.008296) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2017-02-10 |