| NPI | 1992145742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E1800661) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180008256) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2024-01-17 |