| NPI | 1568219178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 94169) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.016892) |
| 101YP2500X Counselor, Professional (Licence: WI 11285-125) | |
| 101YP2500X Counselor, Professional (Licence: IL 178.019129) | |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2025-03-25 |