| NPI | 1497093413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 2433) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.08331) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2018-02-06 |