| NPI | 1851679823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2011029171) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.012074) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2022-07-06 |