| NPI | 1447204953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 166.000914) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 552-124) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2013-07-24 |