| NPI | 1124517248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C7644) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.013687) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2023-09-15 |