| NPI | 1245581271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.006915) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IA 001371) |
| 101YP2500X Counselor, Professional (Licence: SC 69996) | |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2017-06-14 |