| NPI | 1770951022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.010369) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178.009808) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2016-07-05 |