| NPI | 1316068323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 63633) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.006317) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2009-08-07 |