| NPI | 1568730232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-16543) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.005340) |
| 101YP2500X Counselor, Professional (Licence: IL 180.008437) | |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2017-11-08 |