| NPI | 1184187502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 86343) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180011423) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2023-12-07 |