| NPI | 1134755416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.015363) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.015796) |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2023-07-17 |