| NPI | 1821613647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.013640) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0018485) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2026-02-28 |