| NPI | 1104548734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180018095) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.018787) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2026-06-23 |