| NPI | 1184755209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180.004776) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-004776) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-04-23 |