| NPI | 1831699263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.009891) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2021014184) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2021-09-15 |