| NPI | 1306191796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2010015161) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.008879) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2019-05-11 |