| NPI | 1902912744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4342-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-005070) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2010-09-30 |