| NPI | 1922123876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-009787) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178-003030) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2015-12-07 |