| NPI | 1851626816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 125.6398) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180007490) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2020-04-22 |