| NPI | 1548695364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.008341) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 72498) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2016-09-30 |