| NPI | 1134716137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.015479) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-23546) |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2025-01-21 |