| NPI | 1508231309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0193471) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180009990) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2019-10-22 |