| NPI | 1881146314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.012815) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.012438) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2020-09-02 |