| NPI | 1326470121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.008725) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.008725) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2015-04-07 |