| 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 |