| NPI | 1780918912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 8795) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178006189) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2017-02-20 |