| NPI | 1629102280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IA 00996) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-004771) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-08 |