| NPI | 1093280778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180013902) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.014.140) |
| 101YP2500X Counselor, Professional (Licence: IL 178014140) | |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2021-10-06 |