| NPI | 1831827039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 92701) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.018200) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2026-07-16 |