| NPI | 1053956961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178015396) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.015396) |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-14 |