| NPI | 1710159876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2003007955) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.006781) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2023-06-28 |