| NPI | 1386378883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180.013627) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 2022032030) |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2022-10-13 |