| NPI | 1649026824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 178.020083) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 7760-226) |
| Enumeration Date | 2024-04-27 |
| Last Update Date | 2024-04-27 |