| NPI | 1699806091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 260796) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.006777) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2024-03-26 |