| NPI | 1922511930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IA 088070) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.008874) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-13 |