| NPI | 1124550454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 88550) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 002550) |
| 101YP2500X Counselor, Professional (Licence: IL 180011889) | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2022-05-12 |