| NPI | 1780202457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.013869) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.015975) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2021-10-12 |