| NPI | 1275113730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0022022) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.015080) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2025-08-05 |