| NPI | 1154821296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.013606) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 90929) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2025-01-06 |