| NPI | 1821537077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 85052) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.012822) |
| 101YP2500X Counselor, Professional (Licence: IL 180.012862) | |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2022-09-13 |