| NPI | 1134599087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180.011017) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.011259) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2021-12-02 |