| NPI | 1487960217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 3809-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 65348) |
| 101YP2500X Counselor, Professional (Licence: IL 178.001787) | |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2015-09-28 |