| NPI | 1588219133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 86437) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178014950) |
| 225C00000X Rehabilitation Counselor (Licence: IL 340771) | |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2023-12-05 |