| NPI | 1578832481 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.008260) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.007375) | 
| Enumeration Date | 2011-12-21 | 
| Last Update Date | 2022-07-21 |