| NPI | 1053740191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180009620) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.009134) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2022-06-23 |