| NPI | 1164938163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180011257) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.012509) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2020-07-22 |