| NPI | 1922127190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014767) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.007542) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2024-01-02 |