| NPI | 1083370209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.010057) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 6548-125) |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2022-01-03 |