| NPI | 1366809105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO 0013954) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180.008306) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2023-06-26 |