| NPI | 1073105540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.015799) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.015799) |
| Enumeration Date | 2021-02-06 |
| Last Update Date | 2024-11-29 |