| NPI | 1235373515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AL 3503) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178.005944) |
| 101YP2500X Counselor Professional (Licence: IL 180007883) | |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2021-08-10 |