| NPI | 1851866610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.012415) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 2016025824) |
| 101YP2500X Counselor, Professional (Licence: MO 2016025824) | |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2024-07-12 |