| NPI | 1750752903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.011293) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.009723) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2019-01-24 |