| NPI | 1306038526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180006440) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C3758) |
| 101YP2500X Counselor, Professional (Licence: WA LH60691630) | |
| Enumeration Date | 2007-08-11 |
| Last Update Date | 2019-10-04 |