| NPI | 1477968402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2013022307) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.008645) |
| Enumeration Date | 2014-06-28 |
| Last Update Date | 2016-03-21 |