| NPI | 1629491261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.011702) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 00117978) |
| 101Y00000X Counselor (Licence: IL 178.009689) | |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2019-01-08 |