| NPI | 1225454861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.010665) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 124Q00000X Dental Hygienist (Licence: IL 020006952) | |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2023-04-01 |