| NPI | 1285767335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-003087) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2006026203) |
| 101YP2500X Counselor, Professional (Licence: IL 180003087) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2019-06-26 |