| NPI | 1417580960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019490) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.014986) |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2025-06-26 |