| NPI | 1457659609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.008427) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.07112) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2014-08-15 |