| NPI | 1053109660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AL ALC05217) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-065216) |
| 225C00000X Rehabilitation Counselor (Licence: IL 730415) | |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2025-04-25 |