| NPI | 1730782285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.015811) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401018743) |
| 101YP2500X Counselor, Professional (Licence: OH E.2303718) | |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2025-01-24 |