| NPI | 1063833796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.010617) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 10504-125) |
| Enumeration Date | 2013-12-24 |
| Last Update Date | 2025-03-15 |