| NPI | 1376776575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2018028295) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.007071) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2020-05-20 |