| NPI | 1760076772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.013522) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 178.013522) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2021-02-22 |