| NPI | 1669856431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.004519) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 102130) |
| Enumeration Date | 2015-07-12 |
| Last Update Date | 2026-04-30 |