| NPI | 1386179265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2016031600) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.015326) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2025-04-23 |