| NPI | 1083289375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80816) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.013178) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2024-05-22 |