| NPI | 1629507751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 98090) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180014528) |
| 101YP2500X Counselor, Professional (Licence: IL 178012473) | |
| 101YP2500X Counselor, Professional (Licence: CO 0019228) | |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2025-06-25 |