| NPI | 1477978898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A12230) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178009424) |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2016-05-25 |