| NPI | 1467927707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 97364) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.014746) |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2025-05-29 |