| NPI | 1407973357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.007171) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.004017) |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2019-02-19 |