| NPI | 1114431764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180011202) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IA 122770) |
| 101YP2500X Counselor, Professional (Licence: AZ 22676) | |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2025-05-30 |