| NPI | 1295746964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7112) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.005972) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2008-11-06 |