| NPI | 1366659245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 79352) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180007363) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-08-04 |