| NPI | 1750625067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5403-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-003859) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2022-08-01 |