| NPI | 1225680986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.013989) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.014230) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2024-03-17 |