| NPI | 1629280409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180006014) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401017127) |
| 101Y00000X Counselor (Licence: GA LPC007817) | |
| 101YP2500X Counselor, Professional (Licence: IL 180006014) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2019-03-13 |