| NPI | 1518341379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.013308) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701006221) |
| Enumeration Date | 2015-07-11 |
| Last Update Date | 2024-01-04 |