| NPI | 1942677364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2017031122) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.012461) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2023-11-01 |