| NPI | 1174064026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178012538) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 85013) |
| Enumeration Date | 2017-03-12 |
| Last Update Date | 2021-01-15 |