| NPI | 1700527298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 94564) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.014715) |
| 101YP2500X Counselor, Professional (Licence: IL 180.014937) | |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2026-04-02 |