| NPI | 1821598491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.010840) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO .0014220) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |