| NPI | 1073970414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180-008771) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180008771) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2023-09-08 |