| NPI | 1104460054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC13907) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180012230) |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2023-09-05 |