| NPI | 1740432855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IA 095044) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178005000) |
| 101YP2500X Counselor, Professional (Licence: MN cc00249) | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2024-06-03 |