| NPI | 1275127508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 88843) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.016027) |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2022-08-19 |