| NPI | 1760625693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2007025815) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.004232) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2017-05-03 |