| NPI | 1780936187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008519) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 76600) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2017-01-24 |