| NPI | 1568126993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.017624) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 494496) |
| 163W00000X Registered Nurse (Licence: OH 267487) | |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2025-02-09 |