| NPI | 1760842769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180011357) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.011638) |
| 101YP2500X Counselor, Professional (Licence: WI 2603-226) | |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2021-10-25 |