| NPI | 1003533696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.017918) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0020509) |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2026-08-04 |