| NPI | 1538701164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IA 108766) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178.015062) |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2023-02-17 |