| NPI | 1609222140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6080-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.009717) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |