| NPI | 1578697744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401012931) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.005632) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2012-10-15 |