| NPI | 1295072718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 75371) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180004796) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2016-02-02 |