| NPI | 1508593369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 108.017298) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178.021286) |
| 164W00000X Licensed Practical Nurse (Licence: TN 040409) | |
| 164X00000X Licensed Vocational Nurse (Licence: TX 335398) | |
| 171M00000X Case Manager/Care Coordinator (Licence: NJ 4230652) | |
| 225C00000X Rehabilitation Counselor (Licence: IL 183488) | |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2025-07-20 |