| NPI | 1548382302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.006990) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.004759) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2008-10-31 |