| NPI | 1609203348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014561) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.008564) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2019-05-29 |