| NPI | 1972071918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180013875) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178014264) |
| 101YP2500X Counselor Professional (Licence: TX 90809) | |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2023-08-22 |