| NPI | 1386036986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0169371) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180005709) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2024-08-12 |