| NPI | 1295248318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 74529) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: IL 00120337) |
| Enumeration Date | 2017-11-11 |
| Last Update Date | 2020-07-06 |