| NPI | 1922117720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004469) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-005432) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2019-02-19 |