| NPI | 1003935719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 18379) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.005986) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2025-02-24 |