| NPI | 1538372305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 3793-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.008137) |
| 101YP2500X Counselor, Professional (Licence: OH 0008282) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2013-02-25 |