| NPI | 1225663396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6661-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180008121) |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |