| NPI | 1679740096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0011980) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.005363) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2014-10-10 |