| NPI | 1922690510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 178.015667) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA LPC014109) |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2024-10-09 |