| NPI | 1598098378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011512) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.006451) |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2024-11-22 |