| NPI | 1174363501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-23125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.011247) |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2025-01-03 |