| NPI | 1144720178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 16360) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.015987) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2024-07-06 |