| NPI | 1720794902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.019354) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 7173-226) |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-09-26 |