| NPI | 1316094527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-004288) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 142) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2011-09-29 |