| NPI | 1518223098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.008729) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.006583) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2013-07-18 |