| NPI | 1760985303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.012679) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 888768) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2020-01-29 |