| NPI | 1174032007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.012812) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178.012613) |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2024-09-19 |