| NPI | 1093233991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701008455) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.011932) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2022-10-19 |