| NPI | 1073145702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180013819) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 89274) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2022-10-13 |