| NPI | 1578994562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2013042493) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.011307) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00660100) | |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2023-08-09 |