| NPI | 1811226947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2010009075) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.011193) |
| Enumeration Date | 2009-12-20 |
| Last Update Date | 2022-02-04 |