| NPI | 1891234019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 14313) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.012498) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2019-10-08 |