| NPI | 1972579407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 14399) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-004198) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2010-06-30 |