| NPI | 1568654416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 20195) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180005841) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-08-15 |