| NPI | 1508391558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180009449) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 90258) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2023-10-12 |