| NPI | 1740469279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC005032) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.005202) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2016-07-06 |