| NPI | 1649477506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 38656) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 00013372) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-07-08 |