| NPI | 1942805130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180014908) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.011281) |
| 101YP2500X Counselor, Professional (Licence: WI 11021-125) | |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2025-06-24 |