| NPI | 1891432035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 94532) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178017274) |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2024-11-25 |