| NPI | 1114358199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.009996) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.009508) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2022-04-30 |