| NPI | 1356971527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 95703) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: IL 178013067) |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2024-07-23 |