| NPI | 1871813311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 76664) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180008806) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2023-07-24 |