| NPI | 1336494962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.008299) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0166301) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2018-03-17 |