| NPI | 1053079889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.016362) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.017557) |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2025-11-03 |