| NPI | 1245536929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: FL MH 10588) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180.003736) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2016-01-26 |