| NPI | 1871061457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2020043284) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.013283) |
| 101YP2500X Counselor, Professional (Licence: IL 178.013283) | |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2023-12-07 |