| NPI | 1265603765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL 18632) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.006952) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2024-02-22 |