| NPI | 1720414766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 16038) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178009352) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2020-09-28 |