| NPI | 1861926149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC011071) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.012703) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2019-11-26 |