| NPI | 1972710218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401009647) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180003215) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2023-12-27 |