| NPI | 1174956130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80842) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC006996) |
| 101YP2500X Counselor, Professional (Licence: IL 180008937) | |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2021-04-25 |