| NPI | 1295169092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.007941) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0016896) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2023-03-01 |