| NPI | 1881792398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 5332) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178-003664) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |