| NPI | 1619415767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 72969) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180016947) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2025-10-28 |