| NPI | 1073074118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.0012210) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178013073) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-05-06 |