| NPI | 1407208416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2014034540) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.010696) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-07-01 |