| NPI | 1093063505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2012017501) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178002726) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2024-03-26 |