| NPI | 1902958176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2001022012) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 4C178002231) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |