| NPI | 1598419285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2939) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.017798) |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2026-02-27 |