| NPI | 1285919191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.009233) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.001019) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2014-10-15 |