| NPI | 1427348754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65324) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401225028) |
| 101YP2500X Counselor, Professional (Licence: IL 180004949) | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2025-08-21 |